DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PACE OF NORTHEAST INDIANA

MEDICARE: PACE OF NORTHEAST INDIANA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251T00000XPACE Provider Organization

General Provider Information

NPI Number : 1003466202
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACE OF NORTHEAST INDIANA
Provider Business Mailing Address
First Line : 8101 W JEFFERSON BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-4163
Country : US
Telephone Number : 260-745-1200
Fax Number : 260-745-5968
Provider Business Practice Location Address
First Line : 2927 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5415
Country : US
Telephone Number : 260-745-1200
Fax Number :
Authorized Official
Title or Position : CFO
Name : AARON L SHAPIRO
Credential :
Telephone Number : 260-745-1200
Provider Enumeration Date : 09/19/2019
Last Update Date : 09/19/2019

Similar Medicare Providers

1639209125 — AGING & IN-HOME SERVICES OF NORTHEAST INDIANA, INC.
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-745-1200
Practice Fax: 260-456-1066
1851510085 — AGING & IN-HOME SERVICES OF NORTHEAST INDIANA, INC.
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-745-1200
Practice Fax: 260-469-3079
1780065425 — COMMUNITY LIVING RESOURCES LLC
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-745-1200
Practice Fax: 260-745-5968
1851775720 — JANELLE COUTURE RDN, CD
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-745-1200
Practice Fax: 260-745-5968
1356932263 — KIMBERLY SUE CONVERSE OT
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-452-9985
Practice Fax:
1780275578 — CARRIE GUILLAUME MA CCCSLP
Practice Location Address:
2927 LAKE AVE
FORT WAYNE, IN
46805-5415
Practice Phone: 260-452-4062
Practice Fax:

Directions to “PACE OF NORTHEAST INDIANA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.